成人推拿手法联合小儿推拿手法加点穴治疗原发性失眠疗效观察

Clinical efficacy of massage manipulation of adult combined with infant and acupoint pressure therapy for primary insomnia

目的观察成人推拿手法联合小儿推拿手法加点穴治疗原发性失眠的临床疗效。方法将80例原发性失眠患者按照随机数字表法分为2组,对照组40例予艾司唑仑片睡前口服,治疗组40例予成人推拿手法联合小儿推拿手法加点穴治疗。2组均治疗10 d。比较2组治疗前后匹兹堡睡眠质量指数(PSQI)、失眠严重指数量表(ISI)评分,并统计2组疗效。结果治疗组总有效率95.00%(38/40),对照组总有效率77.50%(31/40),治疗组疗效优于对照组(P<0.05)。2组治疗后PSQI各维度评分及总分均较本组治疗前降低(P<0.05),且治疗组治疗后除睡眠障碍和睡眠时间外各维度评分及总分均低于对照组(P<0.05)。2组治疗后ISI评分均较本组治疗前降低(P<0.05),且治疗组治疗后低于对照组(P<0.05)。结论成人推拿手法联合小儿推拿手法加点穴治疗原发性失眠的临床疗效优于口服艾司唑仑片,能显著提升患者睡眠质量,值得临床推广运用。

Objective To observe the clinical efficacy of massage manipulation of adult combined with infant and acupoint pressure therapy(APT)for primary insomnia(PI).Methods A total of 80 PI patients were randomly assigned into the treatment group(n=40)and the control group(n=40).The patients in the control group were treated with oral esazolam tablets before bedtime,and patients in the treatment group with massage manipulation of adult combined with infant and APT.Treated for 10 days,the aim was to compare Pittsburgh Sleep Quality Index(PSQI),Insomnia Severity Index(ISI);the curative effect was assessed.Results The overall effective rate was 95.00%(38/40)in the treatment group,higher than that of 77.50%(31/40)in the control group(P<0.05).After treatment,PSQI scores in groups were decreased(P<0.05),apart from the PSQI dimension(sleep disorders and sleep time)scores,and the other dimension scores and total scores were lower in the treatment group than in the control group(P<0.05);ISI scores in groups were decreased(P<0.05),the treatment group was more prevalent(P<0.05).Conclusion The combined therapy is superior to Western medicine(estazolam tablets)in clinical effect of treating PI,can significantly improve the sleep quality,so it has clinical spread value.